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This document provides a high-level overview of the UHC / Health Insurance activities for 2019.

2019

 Q1 (Jan-Mar)Q2 (Apr-Jun)Q3 (Jul-Sep)Q4 (Oct-Dec)
Architecture review

Architecture Diagram for UHC (v0.1)
Vet new proposals
  • Pre-validation of claims
  • Claim submission
  • Beneficiary enrolment
  
Design Workflows
 
  • Pre-validation of claims
  • Claim submission
  • Beneficiary enrolment
 
Implement new workflows in reference implementation
  
  • Pre-validation of claims
  • Claim submission
  • Beneficiary enrolment
Laboratory test new workflows
   

 

Ideas/Backlog (Ideas to be confirmed and scheduled):

  • Workflows definitions
    • Client / Beneficiary registration
    • Client / Beneficiary validation
    • Claim submission
    • Claim result (???)
  • General UHC requirements (fed in from JLN)
  • Curation of available platforms (such as OpenIMIS etc)
  • Terminology Comparision
  • Crosswalk of fields from different claim forms
  • No labels